Organization Active NPI

Shangri-la Physical Therapy

  • Physical Therapy Clinic/Center
  • Pearce, AZ
National Provider Identifier
1306036033
Registry record updated Aug 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
1500 Issued in AZ
Legal business name
SHANGRI-LA PHYSICAL THERAPY
Practice address
105 Frontage Rd
Ste F
Pearce, AZ 85625
Phone
(520) 826-3222
Fax
(520) 826-3222
NPI assigned
Jul 30, 2007
Last updated
Aug 14, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Miss Erika M Slover, PTNPI 1467504738
Title
Owner Physical Therapist
Phone
(520) 826-3222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1500 AZ Primary

Addresses

Primary practice location

105 Frontage Rd
Ste F
Pearce, AZ 85625

Mailing address

PO Box 304
Pearce, AZ 85625-0304
Phone (520) 826-3222

Other identifiers 1

IdentifierTypeStateIssuer
783078MedicaidAZ

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218672000000",
    "number": "1306036033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 304",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "856250304",
            "telephone_number": "520-826-3222",
            "fax_number": "520-826-3222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 FRONTAGE RD",
            "address_2": "STE F",
            "city": "PEARCE",
            "state": "AZ",
            "postal_code": "85625",
            "telephone_number": "520-826-3222",
            "fax_number": "520-826-3222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHANGRI-LA PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-30",
        "last_updated": "2008-08-14",
        "status": "A",
        "authorized_official_last_name": "SLOVER",
        "authorized_official_first_name": "ERIKA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "520-826-3222",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "AZ",
            "license": "1500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "783078",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearce, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.